Conus Terminallis Neurocysticercosis: A Rare Cause of Lumbar Radiculopathy

Introduction: Neurocysticercosis (NCC) is a parasitic infection caused by the larvae of Taenia solium. Spinal neurocysticercosis presentation is an uncommon clinical condition especially if the only segment involved is cauda equine. Case report: We present a 57 year old woman with a history of a lumbar radiculopathy in which the lumbar MRI showed an expansive lesion at conus terminallis level. The lesion was excised revealing parasitic cisticerci. An albendazol cycle was performed and 1 year after treatment she remains asymptomatic and no more lesions were identified. Discussion: NCC is a rare condition, especially at the sacral region, and the diagnosis is difficult due to the nonspecificity of symptoms being this case so relevant to resemble this entity in non-endemic areas like ours.